Pneumonia Bronchiolitis

 RD  RD
 Asymmetry of the  Symmetrical chest due
chest (if complicated to hyperinflation of
Inspection by pleural effusion or both sides
pneumo)  decreased movement
 decreased movement on both sides
of one side
 Tenderness – NA
 Trachea – shifted if  Tenderness- NA
complicated with
 Trachea
Palpation effusion or pneumo
 TVF – Normal
 TVF – louder on the
 Movement
diseased side*
 Movement
 Dullness due to
consolidation
 Hyper-resonant if
Percussion  Hyper-resonance
pneumothorax
 Stony dullness if fluid
accumulation
 Type of breathing:
Bronchial* breathing  Type: harsh vesicular
in the affected lobe breathing
 Air entry: diminished  Air Entry: bilaterally
over the area with diminished
Auscultation
consolidation  Adventitious Sounds:
 Adventitious Sounds: Expiratory sibilant
fine crepitations.* Ronchi – Wheeze ±
Coarse crepitations in fine crepitation
resolving pneumonia.
 Augmented sound of
Bronchophony voice found in areas  Not present
of consolidation*
* signs of consolidation